Military Education_______________________ College 1 2 3 4 College name and City___________________________

Degree earned_________________________________ Year____________

Major___________________________________

Are you currently in school?_________________ What year?______________________ Summarize any special skills you have that qualify you for the position you are applying for:_________________________________________________________________________________________________

___________________________________________________________

EMPLOYMENT HISTORY (Please list your last 3 employers, starting with the most recent)

I certify that the statements herein are true and correct to the best of my knowledge, and I understand that any false statements or omissions by me on this application and any other required document is considered a cause for denial of employment or discharge, whenever discovered.

I understand that this document is an application for employment, and does not constitute an agreement or contract for employment of any length of time. If hired, I have the freedom to quit at any time. The employer also has the right to terminate my employment with or without cause, the exception being as required by law.

I authorize the above employer to investigate all information in the above application for employment. The employer has the right to contact previous employers, schools and other references to verify this information. I release the employer from any liability in gathering this information. I release from liability any companies or institutions supplying this information. After termination of my employment, for whatever reason, I release the above employer from liability for any information supplied to future potential employers.